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Example MedicationDispense/meddisp0318 (XML)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

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Dispense for Levothyroxine (NDC code) in-progress with authorizing prescription (id = "meddisp0318")

<?xml version="1.0" encoding="UTF-8"?>

<MedicationDispense xmlns="http://hl7.org/fhir">
    <id value="meddisp0318"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationDispense</b> <a name="meddisp0318"> </a> <a name="hcmeddisp0318"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationDispense &quot;meddisp0318&quot; </p> </div> <p> <b> identifier</b> : <code> http://www.bmc.nl/portal/dispenses</code> /12345689 (use: OFFICIAL)</p> <p> <b> status</b> : in-progress</p> <h3> Medications</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Concept</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Levothyroxine Sodium Tablets, USP (75mcg) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ndc.html">National drug codes</a> #0378-1800-10 &quot;Levothyroxine Sodium, 1000 TABLET in 1 BOTTLE, PLASTIC (0378-1800-10)
               (package)&quot;)</span> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <p> <b> encounter</b> : <a href="encounter-example-f001-heart.html">Encounter/f001</a> </p> <h3> Performers</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Actor</b> </td> </tr> <tr> <td style="display: none">*</td> <td> <a href="practitioner-example-f006-rvdb.html">Practitioner/f006</a>  &quot;Rob VAN DEN BERK&quot;</td> </tr> </table> <p> <b> authorizingPrescription</b> : <a href="medicationrequest0314.html">MedicationRequest/medrx0314</a> </p> <p> <b> type</b> : Refill - Part Fill <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a> #RFP)</span> </p> <p> <b> quantity</b> : 100(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
           = 'Tablet')</span> </p> <p> <b> daysSupply</b> : 30 Day<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span> </p> <p> <b> whenPrepared</b> : 2015-03-16T17:13:00+05:00</p> <blockquote> <p> <b> dosageInstruction</b> </p> <p> <b> sequence</b> : 1</p> <p> <b> text</b> : 75mcg daily daily</p> <p> <b> timing</b> : Once per 1 days</p> <p> <b> route</b> : Oral Route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #26643006)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <h3> Substitutions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> WasSubstituted</b> </td> <td> <b> Type</b> </td> <td> <b> Reason</b> </td> <td> <b> ResponsibleParty</b> </td> </tr> <tr> <td style="display: none">*</td> <td> true</td> <td> formulary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-substanceAdminSubstitution.html">Substance Admin Substitution</a> #F)</span> </td> <td> Formulary Policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActReason.html">ActReason</a> #FP)</span> </td> <td> <a href="practitioner-example-f006-rvdb.html">Practitioner/f006</a>  &quot;Rob VAN DEN BERK&quot;</td> </tr> </table> </div> </text> <identifier> 
        <use value="official"/> 
        <system value="http://www.bmc.nl/portal/dispenses"/> 
        <value value="12345689"/> 
    </identifier> 
    <status value="in-progress"/> 
    <medication> 
        <concept> 
            <coding> 
                <system value="http://hl7.org/fhir/sid/ndc"/> 
                <code value="0378-1800-10"/> 
                <display value="Levothyroxine Sodium, 1000 TABLET in 1 BOTTLE, PLASTIC (0378-1800-10) (package)"/> 
            </coding> 
            <text value="Levothyroxine Sodium Tablets, USP (75mcg)"/> 
        </concept> 
    </medication> 
    <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/> 
    </subject> 
    <encounter> 
        <reference value="Encounter/f001"/> 
    </encounter> 
    <performer> 
        <actor> 
            <reference value="Practitioner/f006"/> 
        </actor> 
    </performer> 
    <authorizingPrescription> 
        <reference value="MedicationRequest/medrx0314"/> 
    </authorizingPrescription> 
    <type> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
            <code value="RFP"/> 
            <display value="Refill - Part Fill"/> 
        </coding> 
    </type> 
    <quantity> 
        <value value="100"/> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
        <code value="TAB"/> 
    </quantity> 
    <daysSupply> 
        <value value="30"/> 
        <unit value="Day"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="d"/> 
    </daysSupply> 
    <whenPrepared value="2015-03-16T17:13:00+05:00"/> 
    <dosageInstruction> 
        <sequence value="1"/> 
        <text value="75mcg daily daily"/> 
        <timing> 
            <repeat> 
                <frequency value="1"/> 
                <period value="1"/> 
                <periodUnit value="d"/> 
            </repeat> 
        </timing> 
        <route> 
            <coding> 
                <system value="http://snomed.info/sct"/> 
                <code value="26643006"/> 
                <display value="Oral Route (qualifier value)"/> 
            </coding> 
        </route> 
        <doseAndRate> 
            <type> 
                <coding> 
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
                    <code value="ordered"/> 
                    <display value="Ordered"/> 
                </coding> 
            </type> 
            <doseQuantity> 
                <value value="75"/> 
                <unit value="mcg"/> 
                <system value="http://unitsofmeasure.org"/> 
                <code value="ug"/> 
            </doseQuantity> 
        </doseAndRate> 

    </dosageInstruction> 
    <substitution> 
        <wasSubstituted value="true"/> 
        <type> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/> 
                <code value="F"/> 
                <display value="formulary"/> 
            </coding> 
        </type> 
        <reason> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
                <code value="FP"/> 
                <display value="Formulary Policy"/> 
            </coding> 
        </reason> 
        <responsibleParty> 
            <reference value="Practitioner/f006"/> 
        </responsibleParty> 
    </substitution> 
</MedicationDispense> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.